Aural Aspergilloma : An Unusual Delayed Complication of Tympanoplasty

PAKPOOM SUPIYAPHUN, MD*, PICHET SAMPATANUKUL, MD**, SUWAT VONGFU, MD*, VIRACHAI KEREKHANJANARONG, MD*

Affiliation : * Department of Otolaryngology, **Department of Pathology. Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.

AbstractAural aspergilloma was first reported in 2001 by the authors(1>. Recently the authors dis covered a second case presenting with chronic otorrhea via a fistulous tract in the tympanic membrane. The patient was treated by removal of the fistulous tract and part of the tympanic membrane, cleansing the middle cavity, leaving the tympanic membrane perforated until obtaining a dry ear and followed by a tympanomastoidectomy, without the use of an antifungal agent. Because both cases of aural asper gilloma had a history of successful tympanoplasty with a long quiescent period before the symptoms appeared, the authors postulate that aural aspergilloma may be considered as an unusual delayed complication of tympanoplasty.

Keywords : Fungus, Aspergillus Species, Ear Surgery, Tympanoplasty, Complication

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